FORM 1023-EZ for COSMIC FOUNDATION INC

Field Data
EIN 82-3735694
Case Number EO-2018080-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COSMIC FOUNDATION INC
Organization’s Mailing Address 219 E 5TH AVE
City CONSHOHOCKEN
State PA
ZIP 19428-1714
Accounting period End 12
Primary contact name PEGGY ANN BOTTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY BOTTO
PRESIDENT AND DIRECTOR
219 E 5TH AVE
CONSHOHOCKEN PA 19428-1714

Officer/Director/Trustee Two

AMY BOLIVAR
DIRECTOR
55 EDGEWOOD ROAD
BOYERTOWN PA 19512-8171

Officer/Director/Trustee Three

DEBORAH NAULTY-JENNINGS
DIRECTOR
1701 NORTH HILLS DR
NORRISTOWN PA 19401-5701

Officer/Director/Trustee Four

KIM MILLER
DIRECTOR
7252 DEVON ST
PHILADELPHIA PA 19119-1708

Organization’s website N/A
Organization’s email PEG@COSMICFOODS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PEGGY BOTTO
Signature Title PRESIDENT AND DIRECTOR
Signature Date 3/19/18

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